Neurocirugía is the official Journal of the Spanish Society of Neurosurgery (SENEC). It is published every 2 months (6 issues per year). Neurocirugía will consider for publication, original clinical and experimental scientific works associated with neurosurgery and other related neurological sciences.

All manuscripts are submitted for review by experts in the field (peer review) and are carried out anonymously (double blind). The Journal accepts works written in Spanish or English.

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CiteScore 2017

0.38

SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.

SJR

0.228

SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.

C0028 - SIMULTANEOUS RESECTION OF CHORDOMA AND RECTAL NEOPLASM

Objectives: Describe the pathology of chordoma. Explain the current practices in the management of chordoma. Describe a rare case of simultaneous resection of chordoma and rectal carcinoma.

Methods: A 76-year-old male patient complaining of rectal hemorrhage was diagnosed of a moderately differentiated high grade Adenocarcinoma after histologic study of a polipectomy. A rectal lesion of 25 mm of length and another osseous lesion in S4, S5 and superior portion of coccyx were seen in thoracoabdominal CT scan. A simultaneous resection of the two lesions was carried out. Firstly, laparoscopic abdominoperineal amputation was performed before a posterior approach complete dissection of rectum from sacral region. Histological studies were reviewed; the rectal lesion had cancerous bone cells formed by mucine nidus separated by fibrous tracts while in the sacral lesion physaliferous cells characteristic of chordoma were seen.

Results: In our case, a sacrococcigeal chordoma was radiologically seen during a CT scan for extension study of rectal adenocarcinoma. A sacral lesion was confirmed with MRI and early total surgical excision was performed. The absence of postoperative neurologic deficits is related to early detection, adequate radiological study and meticulous complete resection during surgery. Radiotherapy may have helped to reduce recurrence of chordoma.

Conclusions: This is a rare and interesting case of a patient diagnosed of two different tumors and treated simultaneously in the same surgical act. Including this case there are very few published cases of sacral chordoma associated with rectal neoplasm.